Fundamental 4

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14.

The most reliable method used for sterilizing hospital equipment to be free of
spores and bacteria is :
a. soaking in strong chemical
b. washing and drying it thoroughly after use
c. applying steam under pressure in an autoclave.
d. boiling the equipment
19. The best method of preventing the spread of infection is :
a. isolating all patients suspected of having an infection
b. wearing rubber gloves when performing all nursing procedures
c. washing the hands thoroughly before & m, after each contact with a patient
d. sterilizing the hands with strong germicide at least once a day
57. The normal temperature is :
a. 36c
b. 37.5c
c. 37.6c
d. All of the above
58. The most accurate temperature is:
a. rectally
b. axillary
c. orally
d. tympanic
59. The following techniques are using for general physical examination except
one:
a. inspection
b. palpitation.
c. percussion
d. auscultation
25. One of the followings is not a principle of surgical asepsis:
a. All items in OR must be sterile
b. Sterile should touch only sterile
c. Anything used for one client must be discarded or sterilized
d. Only the surgeon must perform a surgical scrub.
26. The first nursing intervention should be done in the recovery room is:
a. give the patient analgesics
b. put the patient in recovery position.
c. take vital signs and record
d. do suction to the airway
27. The nurse that is responsible for setting sterile tables and equipment and
assist surgeon is:
a. scrub nurse.
b. circulating nurse
c. recovery nurse
d. none of the above
32. Before irrigating a client’s NGT the nurse must first
a. assess breath sounds
b. instill 15 ml. Of normal saline
c. auscultate for bowel sounds
d. check the tube for placement.
57. The force with which the blood is pushing against the arterial walls when the
ventricles are contracting is called:
a. pulse pressure
b. pressure gradient
c. systolic pressure.
d. diastolic pressure
59. An injection into the gluteal site must be given in which quadrant of the
buttocks :
a. upper – inner quadrant
b. upper-outer quadrant
c. lower – inner quadrant
d. lower – outer quadrant
13. The type of anesthesia that affects the whole body is:
a. general anesthesia
b. spinal anesthesia
c. local anesthesia
d. partial anesthesia
31. The instrument that is used to examine the ear is
a. Otoscope
b. Ophthalmoscope
c. Laryngoscope
d. None of the above
32. The most suitable position to assess the abdomen is
a. prone position
b. sitting position
c. supine position
d. standing position
33. The angle of insertion the intradermal injection is
a. 30 degree
b. 60 degree
c. 15 degreed.
d.90 degree
34. The blood pressure of 145/90 is considered
a. normal
b. hypertension
c. hypotension
d. tachycardia
35. Before taking vital signs, you should
a. do hand washing
b. explain the procedure
c. prepare the equipments
d. all of the above.
36. If the blood pressure of a patient is 150/100 mmHg, then the pulse pressure is
a. 150
b. 100
c. 50
d. None of the above
37. The device that used for measuring blood pressure is called
a. thermometer
b. spirometer
c. sphygmomanometer
d. hammer
85. A terminally ill cancer patient is scheduled for an NGT feeding today. How
should you position the patient?
A. Semi fowlers in bed
B. Bring the client into a chair.
C. Slightly elevated right side lying position
D. Supine in bed
86. A client is scheduled for NGT Feeding. Checking the residual volume, you
determined that he has 40 cc residual from the last feeding. You reinstill the 40 cc of
residual volume and added the 250 cc of feeding ordered by the doctor. You then
instill 60 cc of water to clear the lumen and the tube. How much will you put in the
client’s chart as input? ‫ سم اكل و‬250 ‫موجود اربعين مش راح ارجع احسبهن النه بس بده الي ضفناهن‬
‫ سم‬310 ‫ سم مي فهيك بصفي‬60
A. 250 cc
B. 290 cc
C. 350 cc
D. 310 cc

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iv#:~:text=Efficient%20is%20the%20characteristic%20of,minimal%20wasted
%20effort%20or%20resources.

1. She is the first one to coin the term “NURSING PROCESS” She introduced 3 steps
of nursing process which are Observation, Ministration and Validation.
A. Nightingale
B. Johnson
C. Rogers
D. Hall
2. The American Nurses association formulated an innovation of the Nursing process.
Today, how many distinct steps are there in the nursing process?
A. APIE – 4
B. ADPIE – 5
C. ADOPIE – 6.
D. ADOPIER – 7
The mnemonic ADOPIE is an easy way to remember the ANA Standards and the
nursing process. Each letter refers to the six components of the nursing process:
Assessment, Diagnosis, Outcomes Identification, Planning, Implementation, and
Evaluation.
3. They are the first one to suggest a 4 step nursing process which are : APIE , or
assessment, planning, implementation and evaluation.
1. Yura 2. Walsh 3. Roy 4. Knowles
A. 1,2
B. 1,3
C. 3,4
D. 2,3
46. Blood and urine analysis confirm a diagnosis of salicylate overdose. The
client is treated with gastric lavage. Which of the following positions would be
most appropriate for the client during this procedure?
a) Lateral.
b)Trendelenburg
c) Supine
d) Lithotomy
4. Which characteristic of nursing process is responsible for proper utilization of
human resources, time and cost resources?
A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective
5. Which characteristic of nursing process addresses the
INDIVIDUALIZED care a client must receive?
A. Organized and Systematic
B. Humanistic.
C. Efficient
D. Effective
6. A characteristic of the nursing process that is essential to promote
client satisfaction and progress. The care should also be relevant with the
client’s needs.
A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective
7. Rhina, who has Menieres disease, said that her environment is moving.
Which of the following is a valid assessment?
1. Rhina is giving an objective data
2. Rhina is giving a subjective data
3. The source of the data is primary
4.The source of the data is secondary
A. 1,3
B. 2,3.
C. 2.4
D. 1,4
8. Nurse Angela, observe Joel who is very apprehensive over the
impending operation. The client is experiencing dyspnea, diaphoresis and
asks lots of questions. Angela made a diagnosis of ANXIETY R/T
INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?
A. Actual
B. Probable
C. Possible
D. Risk
9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA.
Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN
BODY IMAGE. Although the client has not yet seen her lost leg, Angela
already anticipated the diagnosis. This is what type of Diagnosis?
A. Actual
B. Probable
C. Possible
D. Risk
10. Nurse Angela is about to make a diagnosis but very unsure because
the S/S the client is experiencing is not specific with her diagnosis of
POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF
LOVED ONE. She then focus on gathering data to refute or prove her
diagnosis but her plans and interventions are already ongoing for the
diagnosis. Which type of Diagnosis is this?
A. Actual
B. Probable
C. Possible
D. Risk
11. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an
operation with an incision near the diaphragm. She knew that this will
contribute to some complications later on. She then should develop what
type of Nursing diagnosis?
A. Actual
B. Probable
C. Possible
D. Risk
12. Which of the following Nursing diagnosis is INCORRECT?
A. Fluid volume deficit R/T Diarrhea
B. High risk for injury R/T Absence of side rails.
C. Possible ineffective coping R/T Loss of loved one
D. Self esteem disturbance R/T Effects of surgical removal of the leg
13. Among the following statements, which should be given the
HIGHEST priority?
A. Client is in extreme pain
B. Client’s blood pressure is 60/40
C. Client’s temperature is 40 deg. Centigrade
D. Client is cyanotic.
18. A patient’s chart is what type of data source?
A. Primary
B. Secondary.
C. Tertiary
D. Can be A and B
19. All of the following are characteristic of the Nursing process except
A. Dynamic
B. Cyclical
C. Universal
D. Intrapersonal.
The nursing process is a systematic method that nurses use to
provide patient-centered care. It involves assessing, diagnosing,
planning, implementing, and evaluating the patient's needs. The
characteristics of the nursing process include being dynamic, as it is
constantly changing and adapting to the patient's condition. It is also
cyclical, meaning that it is a continuous process that repeats itself.
The nursing process is universal, meaning that it can be applied to all
patients regardless of their age, gender, or medical condition.
However, the nursing process is not intrapersonal, as it involves
interactions between the nurse and the patient, as well as other
healthcare professionals.
20. Which of the following is true about the NURSING CARE PLAN?
A. It is nursing centered.
B. Rationales are supported by interventions
C. Verbal
D. Atleast 2 goals are needed for every nursing diagnosis
21. A framework for health assessment that evaluates the effects of
stressors to the mind, body and environment in relation with the ability of
the client to perform ADL.
A. Functional health framework
B. Head to toe framework
C. Body system framework
D. Cephalocaudal framework
22. Client has undergone Upper GI and Lower GI series. Which type of
health assessment framework is used in this situation?
A. Functional health framework
B. Head to toe framework
C. Body system framework
D. Cephalocaudal framework
23. Which of the following statement is true regarding temperature?
A. Oral temperature is more accurate than rectal temperature
B. The bulb used in Rectal temperature reading is pear shaped or round.
C. The older the person, the higher his BMR
D. When the client is swimming, BMR Decreases
24. A type of heat loss that occurs when the heat is dissipated by air
current
A. Convection.
B. Conduction
C. Radiation
D. Evaporation

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